Presentation
The present study aimed to report a rare presentation of metastatic malignant mesothelioma (MM). The patient was an elderly man who presented with small bowel (jejunal) perforation secondary to metastatic pleural mesothelioma deposits. [ncbi.nlm.nih.gov]
Entire Body System
- Fever
The patient presented with fever and left chest pain. A computed tomography scan (CT) of the chest showed a small amount of left pleural effusion and slight left pleural thickening that remained unchanged for 1 year. [ncbi.nlm.nih.gov]
Symptoms include chest pain, breathlessness, weight loss, fatigue, fever, and night sweats. These symptoms can be caused by the cancer or by the accumulation of fluid around the lungs. [sydneyheartandlung.com.au]
Blood (Hemoptysis) Pleural mesothelioma can be hard to detect because its symptoms, such as shortness of breath and fever, are common in other respiratory ailments. [mesotheliomaguide.com]
Respiratoric
- Cough
Anamnesis revealed professional asbestos exposure and the patient presented dyspnea, dry cough, right sited chest pain, low fever and loss of weight. [ncbi.nlm.nih.gov]
Other symptoms include: Lower Back Pain Shortness of Breath (dyspnea) Unexplained Weight Loss Swelling of Face or Arms Fluid Buildup (Pleural Effusion) Chest Pain (Pleurisy) Dry or Painful Cough Fever or Sweating Tissue Lumps in the Chest Coughing up [mesotheliomaguide.com]
Shortness of breath Chest pain or painful breathing Persistent dry or raspy cough Coughing up blood Difficulty swallowing Pain in the lower back or rib area Unexplained weight loss and fatigue Swelling of the face or arms Night sweats or fever Lumps under [asbestos.com]
Gastrointestinal
- Abdominal Pain
Abdominal computed tomography was performed for intractable, vague abdominal pain with episodic vomiting, which showed a "target sign" over the left lower quadrant. [ncbi.nlm.nih.gov]
A chest wall mass, weight loss, sweating, abdominal pain and ascites (due to peritoneal involvement) are less common presentations. [orpha.net]
[…] mesothelioma, which occurs in tissue in the abdomen, causes signs and symptoms that may include: Abdominal pain Abdominal swelling Nausea Unexplained weight loss Other forms of mesothelioma Signs and symptoms of other types of mesothelioma are unclear [mayoclinic.org]
Learn more about Pleural Mesothelioma Peritoneal Mesothelioma Location: Lining of the abdomen Symptoms: Abdominal pain and swelling, bloating and bowel changes Prognosis: 52 percent live at least five years after surgery with HIPEC Peritoneal accounts [asbestos.com]
- Epigastric Tenderness
The possibility of pancreatic metastatic lesion should be considered in patients with malignant pleural mesothelioma in the presence of refractory epigastric tenderness. [ncbi.nlm.nih.gov]
- Pelvic Mass
A 45-year-old woman with menorrhagia, pelvic mass, right-sided hydronephrosis, and unexplained weight loss. Cervical biopsies were suggestive of cervical endometriosis. Laparoscopy confirmed endometriosis. [ncbi.nlm.nih.gov]
Skin
- Dermatitis
The most frequent immunotherapy related autoimmune reactions include dermatitis, pneumonitis, colitis, hypophysitis, uveitis, hypothyreodism, hepatitis and interstitial nephritis. [ncbi.nlm.nih.gov]
Eyes
- Lacrimation
Magnetic resonance imaging showed an aggressive lacrimal gland tumour with bony erosion. A biopsy concluded a diagnosis of metastatic mesothelioma of the lacrimal gland. [ncbi.nlm.nih.gov]
- Diplopia
A 55-year-old woman with an untreated malignant biopsy-proven pleural mesothelioma presented with right proptosis, diplopia and hypoglobus. Magnetic resonance imaging showed an aggressive lacrimal gland tumour with bony erosion. [ncbi.nlm.nih.gov]
Musculoskeletal
- Arthralgia
FINDINGS: As of June 20, 2016, 25 patients received pembrolizumab. 16 (64%) patients reported a treatment-related adverse event; the most common adverse event were fatigue (six [24%]), nausea (six [24%]), and arthralgia (five [20%]). [ncbi.nlm.nih.gov]
Face, Head & Neck
- Neck Mass
A neck mass was apparent and was identified pathologically as a lymph node metastasis of malignant mesothelioma. F-18 fluorodeoxyglucose positron emission tomography/CT established the diagnosis of malignant pleural mesothelioma. [ncbi.nlm.nih.gov]
Workup
Positron emission tomography-computed tomography (PET-CT) and ultrasound (US).The aim of this paper is to describe the imaging features of this malignancy, underlining the peculiarity of CXR, CT, MRI, PET-CT and US and also focusing on diagnostic workup [ncbi.nlm.nih.gov]
In combination with imaging methods, tumor markers have been suggested to improve the diagnostic workup and to enhance survival [ 7, 8 ]. Three markers have been selected in this study to evaluate their potential to assist the diagnostic workup. [medsci.org]
X-Ray
- Posterior Mediastinal Mass
A computed tomographic scan revealed a posterior mediastinal mass surrounding the lower portion of the esophagus. Endoscopic examination demonstrated narrowing of the lower esophagus without malignant mucosal lesions. [ncbi.nlm.nih.gov]
Serum
- Lymphopenia
TargomiR infusions were accompanied by transient lymphopenia (25 [96%] of 26 patients), temporal hypophosphataemia (17 [65%] of 26 patients), increased aspartate aminotransferase or alanine aminotranferase (six [23%] of 26 patients), and increased alkaline [ncbi.nlm.nih.gov]
- Creatinine Increased
Because his serum creatinine increased, pemetrexed maintenance therapy (PMT) was adopted, and 18 cycles were successfully delivered and the patient achieved a complete response. This case suggests that PMT could thus be useful for treating MPM. [ncbi.nlm.nih.gov]
Treatment
The trimodality treatment was completed in 37 (44.6%) patients. [ncbi.nlm.nih.gov]
Prognosis
Additional chemotherapy should not be delayed in those with poorer prognosis node positive, nonepithelioid disease. [ncbi.nlm.nih.gov]
Etiology
Exposure to asbestos is the principal etiological agent of MPM. The disease is characterized by difficult stage classification and limited consensus on therapeutic approach. [ncbi.nlm.nih.gov]
Readers will gain knowledge of the etiology, immunopathology of this disease and will understand the rationale for new treatment methods. The initial section of the book gives the historical context of mesothelioma in medicine. [eurekaselect.com]
Etiology Mesothelioma is directly attributable to occupational asbestos exposure with a history of exposure in over 90% of cases. [orpha.net]
Definition / general Malignant mesothelioma arises from mesothelial lining of pleura, peritoneum, pericardium and tunica vaginalis - pleural mesothelioma is the most common of these Etiology Smoking is not a risk factor Risk factors include: Asbestos [pathologyoutlines.com]
Etiology asbestos -fiber exposure: causes majority of cases erionite-fiber exposure: naturally occurring mineral used in building, particularly in Turkey 12 simian virus 40 (SV40) 13 radiation exposure 13 Histology There are three histological types of [radiopaedia.org]
Epidemiology
1 Department of Health Sciences, University of Piemonte Orientale, Novara, Italy. 2 Department of Medical Sciences, University of Turin, Turin, Italy; Human Genetics Foundation, HuGeF, Turin, Italy. 3 CPO-Piemonte and Unit of Medical Statistics and Epidemiology [ncbi.nlm.nih.gov]
Epidemiology and surveillance evidence 2. Multimodality Imaging assessment of Malignant Pleural Mesothelioma 3. Surgery of Malignant Pleural Mesothelioma 4. [elsevier.com]
Pathophysiology
These data highlight the role of claudins and TJ related proteins in the context of pleural physiology and pathophysiology. [journal.frontiersin.org]
MPM is considered an asbestos-related disease (ARD); in fact, pathophysiological processes are common to professional pneumoconiosis such as chronic inflammation resulting in pleural plaque formation due to asbestos fiber retention [ 37 ], promoting pro-inflammatory [oatext.com]
In this study an overview of the epidemiology, etiology, mechanisms of pathophysiology and symptomatology of MPM is carried out. Keywords : Malignant pleural mesothelioma, Asbestos, Epidemiology, Pathogenesis, Symptomatology. [oncm.org]
Computational Model of MicroRNA Control of HIF-VEGF Pathway: Insights into the Pathophysiology of Ischemic Vascular Disease and Cancer. PLoS Comput Biol 11, e1004612 (2015). 50. Greco, S. & Martelli, F. MicroRNAs in Hypoxia Response. [nature.com]
Prevention
Here, we describe a sophisticated surgical technique of P/D without any pleural incision ("non-incisional P/D") to achieve en bloc removal of the entire pleura and tumor, which may improve postoperative survival by preventing tumor spread. [ncbi.nlm.nih.gov]
Causes, Risk Factors, and Prevention Learn about the risk factors for malignant mesothelioma and what you might be able to do to help lower your risk. Early Detection, Diagnosis, and Staging Know the signs and symptoms of malignant mesothelioma. [cancer.org]
Side effects not only cause patients discomfort, but also may prevent the delivery of therapy at its planned dose and schedule. [cancer.unm.edu]